Active NPI
Ismail Imam
- Laboratory Management Specialist/Technologist
- Little Falls, NJ
National Provider Identifier
1508797309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Laboratory Management Specialist/Technologist
- Practice address
- 174 Woodcliff Ave
Little Falls, NJ 07424-1064 - Phone
- (973) 961-1410
- NPI assigned
- May 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Laboratory Management Specialist/Technologist | 246QL0900X | NJ | Primary |
Addresses
Primary practice location
174 Woodcliff Ave
Little Falls, NJ 07424-1064
Mailing address
174 Woodcliff Ave
Little Falls, NJ 07424-1064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1508797309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 WOODCLIFF AVE",
"city": "LITTLE FALLS",
"state": "NJ",
"postal_code": "074241064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 WOODCLIFF AVE",
"city": "LITTLE FALLS",
"state": "NJ",
"postal_code": "074241064",
"telephone_number": "973-961-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMAM",
"first_name": "ISMAIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "246QL0900X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.